Organization
WELL CARE HOME HEALTH OF THE TRIAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MOORE (DIRECTOR OF REVENUE CYCLE)
(910) 362-9405
Entity
Organization
Contact information
Practice address
146 DORNACH WAY STE 210, ADVANCE, NC 27006-7305
(336) 753-6200
(336) 751-9287
Mailing address
131 RACINE DR STE 201, WILMINGTON, NC 28403-8752
(910) 362-9405
(910) 202-1376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3407051
—
NC
Enumeration date
06/10/2006
Last updated
06/28/2024
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